| 螺旋臼全髋关节置换术治疗发育性髋关节发育不良 |
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| 引用本文： | 魏威,寇伯龙,王小梅,吕厚山.螺旋臼全髋关节置换术治疗发育性髋关节发育不良[J].中华关节外科杂志（电子版）,2008,2(4):24-27. |
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| 作者姓名： | 魏威 寇伯龙 王小梅 吕厚山 |
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| 作者单位： | 1. 北京大学人民医院关节病研究所,100044
2. 北京回民医院骨科,100054 |
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| 摘 要： | 目的探讨使用螺旋臼假体治疗发育性髋关节发育不良（DDH）继发骨性关节炎患者的临床疗效。方法自2003年5月至2007年12月，使用Zweymaller螺旋臼假体治疗40例（43髋）DDH继发骨性关节炎患者，其中男6例（6髋），女34例（37髋），平均年龄47．6岁（22～70岁）；单侧37例，双侧3例；Crowe分型：Ⅰ级6例，Ⅱ级24例，Ⅲ级10例，Ⅳ级3例。平均随访24．6个月，术前Harris评分最高61分，最低22分，平均43．5分。结果所有患者术后疼痛基本消失，双下肢长度差异平均1．2cm，2例术后出现股神经损伤症状，术后6个月症状基本消失，Harris评分最高97分，最低62分，平均85．3分。结论使用Zweymtiller螺旋臼假体治疗DDH继发骨性关节炎的患者，可以达到良好的恢复关节功能的临床疗效，手术不需大块植骨和骨水泥，初期临床效果满意。
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| 关 键 词： | 关节成形术 置换 髋 髋发育不良 骨关节炎 髋假体 |
Developmental hip dysplasia treated with total hip arthroplasty with threaded cup |
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| WEI Wei,KOU Bo-long,WANG Xiao-mei,LU Hou-shan.Developmental hip dysplasia treated with total hip arthroplasty with threaded cup[J].Chinese Journal of Joint Surgery(Electronic Version),2008,2(4):24-27. |
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| Authors: | WEI Wei KOU Bo-long WANG Xiao-mei LU Hou-shan |
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| Institution: | WEI Wei,KOU Bo-long,WANG Xiao-mei,LU Hou-shan.Department of Orthopaedic Surgery,Beijing University People\'s Hospital,Beijing 100044,China |
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| Abstract: | Objective The objective of this study was to determine the outcome of total hip arthroplasty with a cementless threaded cup(Zweymuller-SL system)in patients with osteoarthritis secondary to developmental dysplasia of hip(DDH).Methods From May 2003 to December 2007,forty patients(43 hips)with developmental hip dysplasia who were treated with cementless total hip arthroplasty were followed up.The acetabular reconstruction was done with a cementless threaded cup.Among 40 patients,6 were male,34 were female and... |
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| Keywords: | Arthroplasty replacement hip Hip dysplasia Osteoarthritis Hip prosthesis |
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